Fri Mar 04 2022

29 articles - From Saturday Feb 26 2022 to Friday Mar 04 2022

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Guidelines

Guidelines, position statements, white papers, technical reviews, consensus statements, etc…

Arthritis Care Res (Hoboken)

2021 American College of Rheumatology Guideline for the Treatment of Juvenile Idiopathic Arthritis: Recommendations for Nonpharmacologic Therapies, Medication Monitoring, Immunizations, and Imaging.

This clinical practice guideline complements the 2019 American College of Rheumatology JIA and uveitis guidelines, which addressed polyarthritis, sacroiliitis, enthesitis, and uveitis, and a concurrent 2021 guideline on oligoarthritis, temporomandibular arthritis, and systemic JIA. It serves as a tool to support clinicians, patients, and caregivers in decision-making. The recommendations take into consideration the severity of both articular and nonarticular manifestations as well as patient quality of life. Although evidence is generally low quality and many recommendations are conditional, the inclusion of caregivers and patients in the decision-making process strengthens the relevance and applicability of the guideline. It is important to remember that these are recommendations. Clinical decisions, as always, should be made by the treating clinician and patient/caregiver.

Pubmed   Journal   ReadQx 

2021 American College of Rheumatology Guideline for the Treatment of Juvenile Idiopathic Arthritis: Therapeutic Approaches for Oligoarthritis, Temporomandibular Joint Arthritis, and Systemic Juvenile Idiopathic Arthritis.

This clinical practice guideline complements the 2019 American College of Rheumatology JIA and uveitis guidelines, which addressed polyarthritis, sacroiliitis, enthesitis, and uveitis. It serves as a tool to support clinicians, patients, and caregivers in decision-making. The recommendations take into consideration the severity of both articular and nonarticular manifestations as well as patient quality of life. Although evidence is generally low quality and many recommendations are conditional, the inclusion of caregivers and patients in the decision-making process strengthens the relevance and applicability of the guideline. It is important to remember that these are recommendations. Clinical decisions, as always, should be made by the treating clinician and patient/caregiver.

Pubmed   Journal   ReadQx 

Arthritis Rheumatol

2021 American College of Rheumatology Guideline for the Treatment of Juvenile Idiopathic Arthritis: Recommendations for Nonpharmacologic Therapies, Medication Monitoring, Immunizations, and Imaging.

This clinical practice guideline complements the 2019 American College of Rheumatology JIA and uveitis guidelines, which addressed polyarthritis, sacroiliitis, enthesitis, and uveitis, and a concurrent 2021 guideline on oligoarthritis, temporomandibular arthritis, and systemic JIA. It serves as a tool to support clinicians, patients, and caregivers in decision-making. The recommendations take into consideration the severity of both articular and nonarticular manifestations as well as patient quality of life. Although evidence is generally low quality and many recommendations are conditional, the inclusion of caregivers and patients in the decision-making process strengthens the relevance and applicability of the guideline. It is important to remember that these are recommendations. Clinical decisions, as always, should be made by the treating clinician and patient/caregiver.

Pubmed   Journal   ReadQx 

2021 American College of Rheumatology Guideline for the Treatment of Juvenile Idiopathic Arthritis: Therapeutic Approaches for Oligoarthritis, Temporomandibular Joint Arthritis, and Systemic Juvenile Idiopathic Arthritis.

This clinical practice guideline complements the 2019 American College of Rheumatology JIA and uveitis guidelines, which addressed polyarthritis, sacroiliitis, enthesitis, and uveitis. It serves as a tool to support clinicians, patients, and caregivers in decision-making. The recommendations take into consideration the severity of both articular and nonarticular manifestations as well as patient quality of life. Although evidence is generally low quality and many recommendations are conditional, the inclusion of caregivers and patients in the decision-making process strengthens the relevance and applicability of the guideline. It is important to remember that these are recommendations. Clinical decisions, as always, should be made by the treating clinician and patient/caregiver.

Pubmed   Journal   ReadQx 


Meta-analysis

meta-analyses and systematic reviews

Rheumatology (Oxford)

Training and assessment of musculoskeletal ultrasound and injection skills-a systematic review.

The included studies were heterogeneous, and most were of poor methodological quality and not based on contemporary educational theories. This review highlights the need for educational studies using validated theoretical and practical assessment tools to ensure optimal MSUS training and assessment in rheumatology.

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Studies

RCT, clinical trials, retrospective studies, etc…

Ann Rheum Dis

Immune cell multiomics analysis reveals contribution of oxidative phosphorylation to B-cell functions and organ damage of lupus.

This work elucidated the potential prognostic marker for SLE. Since OXPHOS consists of the electron transport chain, a functional unit in mitochondria, these findings suggest the importance of mitochondrial dysfunction as a key immunological pathway involved in SLE.

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Arthritis Care Res (Hoboken)

Associations of Diabetes Status and Hyperglycemia with Symptomatic Knee Osteoarthritis.

Diabetes, bad glycemic management, and long-term diabetes are potential risk factors of symptomatic knee OA, independent of age and BMI. Targeting blood glucose, in addition to bodyweight, may be an important avenue for prevention of knee OA.

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Damage Trajectories in Systemic Sclerosis Using Group-Based Trajectory Modeling.

We identified three trajectories of damage accrual in a combined incident SSc cohort. Several characteristics increased the odds of belonging to worse trajectories. These findings may be helpful in recognizing patients in whom early aggressive treatment is necessary.

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Measuring the Impact of MyLupusGuideTM in Canada: Results of a Randomized Control Study.

MyLupusGuide TM increased self-efficacy but not patient activation. Fifty-six percent of participants visited MyLupusGuide TM site during the study period. Individuals with lupus need support to become activated toward self-management behaviors.

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Arthritis Res Ther

Association between perinatal factors and future risk for gout-a nested case-control study.

In this study, maternal diabetes and being small for gestational age increased the risk for future gout development in young adults. As of today, these conditions are becoming more prevalent and may contribute to the ongoing gout epidemic. These results require both confirmation and further delineation of underlying mechanisms.

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Clinical features of gout in adult patients with type Ia glycogen storage disease: a single-centre retrospective study and a review of literature.

Determination of GSD Ia should be performed for young-onset gout patients with an early occurrence of gouty tophi, especially in patients with hepatomegaly, recurrent hypoglycaemia, or growth retardation. Early detection and long-term regulatory management of hyperuricaemia, in addition to early raw corn starch and lifestyle intervention, should be emphasized for GSD Ia patients in order to maintain good metabolic control.

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Longitudinal assessment of reactivity and affinity profile of anti-Jo1 autoantibodies to distinct HisRS domains and a splice variant in a cohort of patients with myositis and anti-synthetase syndrome.

High levels and high-affinity anti-Jo1 autoantibodies towards HisRS-FL were found early in disease in sera and BALF. In combination with the correlation of anti-HisRS-FL antibody levels with ILD and ILD activity in longitudinal samples as well as of anti-WHEP IgG in BALF with poor pulmonary function, this supports the previously raised hypothesis that the lung might have a role in the immune reaction in anti-Jo1-positive patients.

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Plasma interleukin-23 and circulating IL-17A+IFN+ ex-Th17 cells predict opposing outcomes of anti-TNF therapy in rheumatoid arthritis.

Plasma IL-23 and circulating IL-17A + IFN + ex-Th17 cells are independently associated with response to anti-TNF therapy. In combination, plasma IL-23 and circulating IL-17A + IFN + ex-Th17 cells provide additive value to the prediction of response to anti-TNF therapy in RA.

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Preferable outcome of Janus kinase inhibitors for a group of difficult-to-treat rheumatoid arthritis patients: from the FIRST Registry.

This study compared responsiveness to different classes of b/tsDMARDs among D2T RA and vD2T RA patients who were refractory to multiple b/tsDMARDs. The results suggest JAKi is a preferable treatment choice for this type of D2T RA.

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Arthritis Rheumatol

Prevalence trends of site-specific osteoarthritis from 1990 to 2019: findings from the Global Burden of Disease Study 2019.

OA has remained a major public health concern worldwide over the past decades. The prevalence increased and diversified with geographic location and joint site. Prevention and early treatment are pivotal to mitigating the growing burden of OA.

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Rheumatology (Oxford)

Gastrointestinal symptom severity and progression in systemic sclerosis.

High GIT symptom burden is present early in SSc disease course. Both for prevalence and for progression of GIT symptom burden female sex and smoking were identified as risk factors.

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Mechanisms underlying DMARD inefficacy in difficult-to-treat rheumatoid arthritis: a narrative review with systematic literature search.

In this narrative review based on a systematic literature search, an overview of underlying (immune) mechanisms is presented. Potential scenarios are discussed including the influence of different levels of gene expression and clinical characteristics. Although the exact underlying mechanisms remain largely unknown, the heterogeneity between individual patients supports the assumption that (D2T) RA is a syndrome involving different pathogenic mechanisms.

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Patient preferences for the treatment of systemic sclerosis-associated interstitial lung disease: a discrete choice experiment.

This is the first study to quantitatively elicit patients' preferences for treatment attributes in SSc-ILD. Patients showed willingness to make trade-offs, providing a firm basis for shared decision-making in clinical practice.

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Ruxolitinib Inhibits IFN-stimulated Sjögren's Salivary Gland MSC HLA-DR Expression and Chemokine-Dependent T-cell Migration.

These findings establish that ruxolitinib inhibits IFN-induced expression of SG-MSC immunomodulatory markers and chemokines. Ruxolitinib also reverses IFN-induced CD4+ T cell chemotaxis, through inhibition of CXCL9, -10, and -11. Because IFN is higher in SjD than control SGs, we have identified SG-MSCs as a plausible pathogenic cell type in SjD. We provide proof of concept supporting further study of ruxolitinib to treat SjD.

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Safety of the BNT162b2 mRNA COVID-19 vaccine in patients with familial Mediterranean fever.

The BNT162b2 mRNA Covid-19 vaccine is safe in patients with FMF. Our results support the administration of this vaccine to FMF patients according to guidelines applicable to the general population.

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Reviews&Editorials

Plenty of the editorials are available as full text through the publisher website using the provided link

Arthritis Res Ther

Senescent skeletal cells cross-talk with synovial cells plays a key role in the pathogenesis of osteoarthritis.

g., by eliminating senescent skeletal cells and/or inhibiting the senescence-associated secretory phenotype (SASP) that drives senescence. Furthermore, the existing animal models for the study of OA from the perspective of senescence are highlighted to fill the gap between basic research and clinical applications. Overall, in this review, we systematically assess the current understanding of cellular senescence in OA, which in turn might shed light on the stratified OA treatments.

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Letters&Replies

Letters to the editors and authors’ replies

Arthritis Rheumatol

COVID-19 Vaccine Uptake and Vaccine Hesitancy in Rheumatology Patients Receiving Immunomodulatory Therapies Treated In Community Practice Settings.

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Others

all remaining publications eg case reports, images of the month, etc…

Ann Rheum Dis

Comparative analysis of SGLT-2 expression in renal vasculitis and lupus nephritis.

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Marking the 50th anniversary of a seminal paper in rheumatology: did Baruj Benacerraf and Hugh McDevitt get it right?

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No excess mortality in contemporary undifferentiated arthritis, in contrast to rheumatoid arthritis: a study with a follow-up of at least 10 years.

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Rheumatology (Oxford)

Comment on: Diagnosing giant cell arteritis: a comprehensive practical guide for the practicing rheumatologist.

Pubmed   Journal   ReadQx 

Comment on: Diagnosing giant cell arteritis: a comprehensive practical guide for the practicing rheumatologist: reply.

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Editor's Acknowledgement.

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Neuropsychiatric systemic lupus erythematosus in a girl with neurocutaneous melanosis caused by a somatic mutation in NRAS.

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